Patrick, Sean T.

Patrick, Sean T. is an sole proprietor health care provider with primary practice located at 24 Salt Pond Rd Ste F1, Wakefield RI 02879-4335. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Patrick, Sean T. can be contacted via phone (401) 788-8820.

Contact Information

Primary practice address
24 Salt Pond Rd Ste F1 Wakefield RI 02879-4335
Fax: (401) 788-9048
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN03195 Rhode Island

Profile Details

NPI number 1265743538
LBN Legal business name Patrick, Sean T.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2010
Last updated Dec 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265743538 NPPES
Connecticut MEDICAID 008031042

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